Title page
Contents
Summary 4
The Infected Blood Inquiry 4
Recognition and ongoing care 4
Patient safety and voice 4
Response to the inquiry report 5
1. Background to the public inquiry 6
1.1. What was infected blood? 6
1.2. The Infected Blood Inquiry 7
Interim reports of the inquiry 7
Final report of the inquiry 8
2. Recommendations of the inquiry 9
2.1. Recognition and remembrance 9
2.2. Healthcare for infected patients 10
Monitoring patients infected with hepatitis C (recommendation 6) 10
Finding undiagnosed patients (recommendation 8) 11
2.3. Improving patient safety 12
Safety of blood transfusions (recommendation 7) 13
Safety of haemophilia care (recommendation 9) 16
Learning from the inquiry and preventing future harm (recommendations 3, 4 and 5) 17
Giving patients a voice (recommendation 10) 20
2.4. Public inquiries 21
3. Response to the recommendations 23
3.1. Government responses 23
Apologies 23
3.2. NHS and healthcare bodies 24
3.3. Patient organisations and charities 25